Individual
BRADFORD GREGORY BICHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 N WABASH AVE, SUITE 210, MARION, IN 46952-2600
(317) 770-0055
(317) 770-0066
Mailing address
PO BOX 1385, INDIANAPOLIS, IN 46206-1385
(317) 770-0055
(317) 770-0066
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
01057899A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200830960
—
IN
Enumeration date
08/10/2006
Last updated
07/09/2007
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